Wiki 43239, 43248, 43245, have I unbundled?

[blathrop19@gmail.com]

Hey all,

I have coded 43239 pointing to 535.00, 43248 pointing to 750.3, and 43245 pionting to 537.3. I have not added a 59 mod to any of these since the CMS website doesn't show a need for it. UHC is denying this on a claim saying these procedures are all bundled in 43245. Is this true, am I missing something?

Thanks,

Bob

 

[david.ennis@uwmf.wisc.edu]

unbundled??

Hi,
You have not unbundled, but you should have put a -59 modifier on the two subsequent procedures.
Thanks, D

 

[slwinjum]

supporting documentation.

I've been receiving denials even with the 59 modifier. Can anyone direct me to supporting documentation for appealing the denials?

 

[Deb2009]

Can you post the procedure report? without patient info of course

And what is the denial reason?